NPI | 1043658370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0002755-C-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041410710) |
Enumeration Date | 2013-06-09 |
Last Update Date | 2021-06-04 |