NPI | 1457900730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11003385) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11003385) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2025-07-28 |