NPI | 1952909277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10710-33) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MN 1555745) |
363L00000X Nurse Practitioner (Licence: IL 209-021132) | |
363LF0000X Nurse Practitioner, Family (Licence: MN 6909) | |
Enumeration Date | 2020-10-09 |
Last Update Date | 2023-03-07 |