NPI | 1932972056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028578) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209028578) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2024-06-17 |