NPI | 1285301242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024699) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 708030) |
163W00000X Registered Nurse (Licence: IL 41.519493) | |
Enumeration Date | 2021-08-26 |
Last Update Date | 2022-03-16 |