NPI | 1528653847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11019895) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH pending) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2023-04-19 |