NPI | 1518645613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209.027825) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: IL 041416169) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2023-07-10 |