NPI | 1124450390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 277.000490) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209010446) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2024-02-14 |