NPI | 1932646643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001610) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015728) |
163W00000X Registered Nurse (Licence: IL 041449617) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020359) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3010957) | |
Enumeration Date | 2017-01-20 |
Last Update Date | 2021-10-01 |