NPI | 1841242328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209005408) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041268938) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-04-22 |