NPI | 1750876405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141377) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.017502) |
Enumeration Date | 2018-06-26 |
Last Update Date | 2020-12-08 |