NPI | 1861698417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18247) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041217131) |
363L00000X Nurse Practitioner (Licence: IL 209002801) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209002801) | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2023-08-28 |