NPI | 1043820301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R212512) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R212152) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD R212512) | |
Enumeration Date | 2020-08-03 |
Last Update Date | 2024-09-16 |