NPI | 1730848862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209024585) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041503368) |
Enumeration Date | 2021-12-16 |
Last Update Date | 2021-12-22 |