NPI | 1366836728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 31422) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60550343) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2023-04-06 |