NPI | 1467866996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009172) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-103604) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-103604) | |
363L00000X Nurse Practitioner (Licence: AL 1-103604) | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2024-05-07 |