NPI | 1922586163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4012497) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.017461) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-01-16 |