NPI | 1114259587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007823) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 309004468) |
Enumeration Date | 2010-02-09 |
Last Update Date | 2021-12-24 |