NPI | 1851720304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.010781) |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 209.010781) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2017-10-03 |