NPI | 1598365215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 009304) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9304) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-11-12 |