NPI | 1063975076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RNP223586) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RNP223586) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AZ RNP223586) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RNP223586) | |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-08-29 |