NPI | 1235459033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MI 4704241819) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.008168) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2021-02-16 |