NPI | 1467839357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19938) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19938) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2020-06-11 |