NPI | 1407314875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10813) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10813) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2024-06-03 |