NPI | 1356378467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 145585) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209005863) |
207Q00000X Family Medicine (Licence: IL 41349641) | |
363L00000X Nurse Practitioner (Licence: WI 11394) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 144585) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-11-22 |