NPI | 1376505479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000114) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209001718) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-001718) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277000114) | |
Enumeration Date | 2006-04-04 |
Last Update Date | 2023-08-02 |