NPI | 1356169056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11034938) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11034938) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034938) | |
Enumeration Date | 2024-10-01 |
Last Update Date | 2025-02-05 |