NPI | 1114467347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017291) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017291) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017291) | |
363L00000X Nurse Practitioner (Licence: MA RN2377445) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2024-10-15 |