NPI | 1295276673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024188409) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704360622) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022699) | |
363L00000X Nurse Practitioner (Licence: PA SP017268) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017268) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP017268) | |
Enumeration Date | 2017-03-17 |
Last Update Date | 2024-01-31 |