NPI | 1457924433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9111210-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9111210-4405) |
363LG0600X Nurse Practitioner, Gerontology (Licence: UT 9111210-4405) | |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-12-20 |