NPI | 1699164277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012070) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041380159) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2020-02-20 |