NPI | 1538830740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024054) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209024054) |
Enumeration Date | 2021-09-27 |
Last Update Date | 2024-10-29 |