NPI | 1841511896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.007617) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.371573) |
163W00000X Registered Nurse (Licence: TN 162394) | |
Enumeration Date | 2010-06-14 |
Last Update Date | 2011-01-12 |