NPI | 1891049276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010493) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2012039953) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2024-03-04 |