NPI | 1982029856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209013335) |
Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: IL 209010944) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2023-01-06 |