NPI | 1811532088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN272390) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209026689) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP0213030) | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2024-06-18 |