NPI | 1780237255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5021894) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 227742) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2025-04-09 |