NPI | 1013622398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017435) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017435) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5017435) | |
Enumeration Date | 2023-01-20 |
Last Update Date | 2024-07-16 |