NPI | 1841886546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008427) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11008427) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11008427) | |
Enumeration Date | 2020-12-16 |
Last Update Date | 2023-04-18 |