NPI | 1215562533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 25920) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 0000180451) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TN 27351) | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2024-11-01 |