NPI | 1386195964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11030823) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000230) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC001904) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0000230) | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2025-07-11 |