NPI | 1861268005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.028930) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.028930) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.028930) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.028930) | |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |