NPI | 1407257488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H096495) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.011784) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2024-05-23 |