NPI | 1437893757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11019808) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL RN9402121) |
Enumeration Date | 2022-04-22 |
Last Update Date | 2022-06-15 |