NPI | 1306128285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 854884) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009059) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2024-01-22 |