NPI | 1841854205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018966) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209018966) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2024-07-17 |