NPI | 1740893437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013461) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5013461) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5013461) | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-08-07 |