NPI | 1538453238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R235754) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015338) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209008488) | |
Enumeration Date | 2011-05-31 |
Last Update Date | 2019-11-12 |