NPI | 1316507395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 066106-23) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 066106-23) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2022-01-07 |