NPI | 1285062836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2311986) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11017273) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8823) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0000827) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02417) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NH 053505-23) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10033174) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NH 053505-23) | |
Enumeration Date | 2013-10-17 |
Last Update Date | 2024-10-24 |