NPI | 1558954677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11006831) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11006831) |
Enumeration Date | 2021-02-19 |
Last Update Date | 2024-07-15 |