NPI | 1205043973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-067319) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD 33381068) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD 33381068) | |
363LF0000X Nurse Practitioner, Family (Licence: AR A003945) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD 33381068) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2022-10-20 |