NPI | 1396158812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209011413) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011413) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2024-10-01 |