NPI | 1083197644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 812985) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 812985) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2019-03-25 |