NPI | 1265113336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND R41395) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R41395) |
363LA2200X Nurse Practitioner, Adult Health (Licence: ND R41395) | |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-08-17 |