NPI | 1992401335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209-027698) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.443685) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.027698) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-027698) | |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-10-11 |