NPI | 1114414547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7526) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7526) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7526) | |
Enumeration Date | 2018-04-20 |
Last Update Date | 2023-07-28 |