NPI | 1912330895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61603948) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010644) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2025-01-24 |