NPI | 1235761115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 236617) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 236617) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 236617) | |
Enumeration Date | 2020-02-07 |
Last Update Date | 2022-05-03 |