NPI | 1669848420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 61637) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VA 0024172836) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1012558) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009775) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: UT 9795086-4405) | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2022-06-30 |