NPI | 1659973097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022009) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209022009) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2021-03-22 |