NPI | 1952767253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R46991) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.013752) |
363LF0000X Nurse Practitioner Family (Licence: FL ARNP9488337) | |
Enumeration Date | 2016-01-04 |
Last Update Date | 2018-12-31 |