NPI | 1407043391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209003352) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004398) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 259671) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2024-10-31 |