NPI | 1356730089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19502) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN19502) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN19502) | |
Enumeration Date | 2015-01-19 |
Last Update Date | 2022-03-18 |