NPI | 1427637875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32287) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015988) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2022-12-07 |