NPI | 1023337672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277-000633) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209008149) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2022-04-20 |