NPI | 1194318766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: KY 3015915) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 1116303) |
363LA2100X Nurse Practitioner Acute Care (Licence: KY 3015915) | |
Enumeration Date | 2021-02-15 |
Last Update Date | 2023-01-06 |