NPI | 1932870003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209021774) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021774) |
Enumeration Date | 2021-09-27 |
Last Update Date | 2023-11-13 |