NPI | 1609411453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30507) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000223198) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30507) | |
Enumeration Date | 2019-11-14 |
Last Update Date | 2024-06-05 |