NPI | 1952099012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209027170) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209027170) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209027170) | |
Enumeration Date | 2023-04-26 |
Last Update Date | 2025-05-28 |