NPI | 1407401151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177978) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177978) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2021-10-22 |