NPI | 1275958092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010888) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013241) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2015-09-23 |