| NPI | 1972242188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209025312) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041422454) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.025312) | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-10-20 |