NPI | 1982867263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111176) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209004822) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2012-02-28 |