NPI | 1083332670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017822) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5017822) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5017822) | |
Enumeration Date | 2022-08-19 |
Last Update Date | 2023-03-21 |