NPI | 1376329789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209028130) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.028130) |
363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209028130) | |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-10-11 |