NPI | 1598248734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.018129) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209018129) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2024-07-12 |