NPI | 1841699535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-094561) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-094561) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-094561) | |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |