NPI | 1487298121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020397) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.020397) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2022-06-01 |