NPI | 1205594413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 275445) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 275445) |
390200000X Student in an Organized Health Care Education/Training Program | |
163W00000X Registered Nurse (Licence: AZ RN200398) | |
Enumeration Date | 2021-12-05 |
Last Update Date | 2023-05-22 |