NPI | 1013364926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.013832) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013832) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2020-10-30 |