NPI | 1821821596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.030311) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.048084) |
Enumeration Date | 2024-08-20 |
Last Update Date | 2024-10-07 |