NPI | 1922705565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026912) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 41418332) |
163W00000X Registered Nurse (Licence: IL 41418332) | |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-08-09 |