NPI | 1891054060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15235-33) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209009515) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2024-06-17 |