NPI | 1710222807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.009900) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209009900) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2020-09-18 |