NPI | 1124598909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.018259) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.018259) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.018259) | |
Enumeration Date | 2018-12-05 |
Last Update Date | 2021-04-19 |