NPI | 1720421175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010646) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2013009799) |
163W00000X Registered Nurse (Licence: MO 2004030088) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: IL 209010646) | |
363L00000X Nurse Practitioner (Licence: IL 209010646) | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2022-07-21 |