NPI | 1568962827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-145005) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-145005) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-145005) | |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-03-17 |