NPI | 1881646867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004922) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004922) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2025-03-18 |