NPI | 1760035976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95012113) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012113) |
363LA2100X Nurse Practitioner Acute Care (Licence: CA 95012113) | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2024-01-29 |