NPI | 1932342680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007523) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IL 041-346436) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2016-03-16 |