NPI | 1659764124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 221426) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 221426) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2024-01-08 |