NPI | 1508264201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7680) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP7680) |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AZ AP7680) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ RN 053277) | |
Enumeration Date | 2014-12-11 |
Last Update Date | 2023-11-14 |