NPI | 1639303761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.007543) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307149) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2017-03-28 |