NPI | 1912300369 |
---|---|
Former Name | NOEL N. NORUP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012286) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-1361221) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2019-08-23 |