NPI | 1659956175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP023116) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP023116) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2024-07-18 |