NPI | 1275906984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 14213049-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8193) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8193) | |
Enumeration Date | 2015-11-03 |
Last Update Date | 2025-07-14 |