NPI | 1902134208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9360051) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007905) |
Enumeration Date | 2009-11-24 |
Last Update Date | 2023-03-07 |