NPI | 1295586006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35920) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35920) |
Enumeration Date | 2024-03-29 |
Last Update Date | 2024-05-19 |