NPI | 1689940181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.009457) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.009457) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2022-05-13 |