NPI | 1073115614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 842695) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN191089) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: NV RN95778) | |
Enumeration Date | 2020-11-09 |
Last Update Date | 2022-11-22 |