NPI | 1851783054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012981) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN229663) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2019-08-06 |