NPI | 1174078992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9364909) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL aprn9364909) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9364909) | |
Enumeration Date | 2016-08-22 |
Last Update Date | 2023-05-08 |