NPI | 1801231766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010406) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041371127) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2016-03-08 |