NPI | 1134593650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11274) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2266561) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2266561) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201509373NP-PP) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011619) | |
Enumeration Date | 2015-11-20 |
Last Update Date | 2023-01-19 |