NPI | 1821404070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 122787) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19483) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11025160) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017783) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: GA 122787) | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2023-05-01 |