NPI | 1346607587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND 201611) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND 201611) |
163WD0400X Registered Nurse, Diabetes Educator (Licence: WV 83344) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: ND 201611) | |
Enumeration Date | 2016-01-19 |
Last Update Date | 2025-05-16 |