NPI | 1346807443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.425530) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 122180) |
Enumeration Date | 2019-05-23 |
Last Update Date | 2024-11-19 |