NPI | 1194133140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02473) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02473) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-02473) | |
Enumeration Date | 2014-07-22 |
Last Update Date | 2021-11-17 |