NPI | 1861658445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.004210) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001153A) |
Enumeration Date | 2008-08-02 |
Last Update Date | 2011-10-10 |