NPI | 1083379127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 838434) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 838434) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NV 838434) | |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-03-03 |