NPI | 1548752843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209024646) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 007624) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209024646) | |
Enumeration Date | 2018-06-01 |
Last Update Date | 2024-11-12 |