NPI | 1023730975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32560) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 32560) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32560) | |
Enumeration Date | 2022-09-16 |
Last Update Date | 2025-02-04 |