NPI | 1013782648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019238) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 305422) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 000000) | |
Enumeration Date | 2023-11-27 |
Last Update Date | 2024-01-30 |