NPI | 1710437249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014850) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.262088) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |