NPI | 1992172944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.013165) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.013165) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.013165) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.013165) | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2024-02-13 |