NPI | 1407460074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28231) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 188273) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28231) | |
Enumeration Date | 2020-09-01 |
Last Update Date | 2024-08-05 |