NPI | 1427532746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020702) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994112) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95010948) | |
Enumeration Date | 2018-09-21 |
Last Update Date | 2025-07-13 |