NPI | 1861276255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028577) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704370817) |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-11-16 |