NPI | 1952733727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008733) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010582) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2016-07-21 |