NPI | 1144421694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28214) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-006752) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2024-08-28 |