NPI | 1417450867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.001540) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209071222) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2024-10-29 |