NPI | 1851802250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9308689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9308689) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9308689) | |
Enumeration Date | 2017-10-12 |
Last Update Date | 2024-04-05 |