NPI | 1922762798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024242) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.394318) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |