NPI | 1972360949 |
---|---|
Former Name | EMMA REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209.029674) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.029674) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-11-27 |