NPI | 1538779152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021475) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020027221) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.021475) | |
Enumeration Date | 2020-08-07 |
Last Update Date | 2022-04-29 |