NPI | 1194442566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 234005) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV TMP817157) |
363LA2100X Nurse Practitioner, Acute Care (Licence: LA 234005) | |
Enumeration Date | 2022-10-25 |
Last Update Date | 2024-04-26 |