NPI | 1346608775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142211) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-012717) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209012717) | |
Enumeration Date | 2016-01-30 |
Last Update Date | 2023-01-04 |