NPI | 1407366842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-016663) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14993) |
363LF0000X Nurse Practitioner, Family (Licence: WI 14993) | |
Enumeration Date | 2017-10-11 |
Last Update Date | 2024-07-03 |