NPI | 1467913095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25659) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25659) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2022-03-14 |