NPI | 1033629829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016639) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 219338) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2024-02-14 |