NPI | 1871737486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.007096) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 041333860) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2023-06-29 |