NPI | 1275082596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028904) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL 9256027) |
163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9256027) | |
364SI0800X Clinical Nurse Specialist, Informatics (Licence: FL 11028904) | |
Enumeration Date | 2016-09-28 |
Last Update Date | 2023-12-02 |