NPI | 1588800700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.007375) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007375) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2024-07-17 |