NPI | 1548035686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11031526) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9538171) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11031526) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11031526) | |
Enumeration Date | 2023-11-20 |
Last Update Date | 2024-04-25 |