NPI | 1083382972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP025050) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN634240) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182277) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025050) | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2024-03-13 |