NPI | 1356378467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 145585) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 11394) |
363L00000X Nurse Practitioner (Licence: IL 209005863) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2025-03-13 |