NPI | 1316498934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.015147) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.015147) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041285592) | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-12-26 |