NPI | 1609334341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A006177) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A006177) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AR A006177) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016421) | |
Enumeration Date | 2019-03-12 |
Last Update Date | 2023-08-10 |