NPI | 1811372428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24163) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24163) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24163) | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2023-05-02 |