NPI | 1225326093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R877495) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP09543) |
363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP09543) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP09543) | |
Enumeration Date | 2011-07-14 |
Last Update Date | 2022-05-26 |