NPI | 1346695095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6877-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014249) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2024-01-12 |