NPI | 1740593268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71012713A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-000320) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.008243) | |
Enumeration Date | 2010-07-26 |
Last Update Date | 2023-02-24 |