NPI | 1164288866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 78110) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11029919) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11029919) | |
Enumeration Date | 2024-02-21 |
Last Update Date | 2025-06-11 |