NPI | 1457458234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 072603) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017488) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2019-03-15 |