NPI | 1326456476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP07987) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN108838) |
363L00000X Nurse Practitioner (Licence: LA AP07987) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07987) | |
363LF0000X Nurse Practitioner, Family (Licence: LA AP07987) | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2023-10-25 |