NPI | 1306395934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.014952) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041413434) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2017-04-05 |