NPI | 1548757552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209017401) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017401) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-08-23 |