NPI | 1538676499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002915) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041424998) |
Enumeration Date | 2018-01-02 |
Last Update Date | 2025-09-24 |