NPI | 1376326116 |
---|---|
Former Name | CAROLINE HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.028068) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.028068) |
Enumeration Date | 2023-08-16 |
Last Update Date | 2024-07-25 |