NPI | 1801167614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-62228) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-62228) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN001358) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9413908) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9413908) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN001358) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2023-01-05 |