NPI | 1598520751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020720) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: NC 301712) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020720) | |
Enumeration Date | 2024-02-16 |
Last Update Date | 2024-09-11 |