NPI | 1063174605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 906335) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MS 909612) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MS 906335) | |
Enumeration Date | 2021-10-11 |
Last Update Date | 2023-10-25 |