NPI | 1235751488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.021338) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041429270) |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-10-08 |