NPI | 1457866261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 13329804-4405) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA SP018027) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018027) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN281754) | |
Enumeration Date | 2017-12-04 |
Last Update Date | 2024-01-30 |