NPI | 1851805295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209016923) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.016923) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2021-03-03 |