NPI | 1396138830 |
---|---|
Former Name | NOEMI INGRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.002223) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012918) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2022-11-17 |