NPI | 1285240648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024180183) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024180183) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2021-01-25 |