NPI | 1629243886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-007873) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2001031602) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2014-04-22 |