NPI | 1790232056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014997) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041369950) |
Enumeration Date | 2016-09-04 |
Last Update Date | 2023-09-19 |