NPI | 1396292728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP8921) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8921) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2024-12-04 |