NPI | 1871088864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017783) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209017783) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2022-09-15 |