NPI | 1902681844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041454345) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041454345) |
Enumeration Date | 2023-08-29 |
Last Update Date | 2023-08-29 |