NPI | 1477042745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL CRNP-1-136738) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-136738) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL CRNP-1-136738) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2023-06-30 |