NPI | 1861038044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11035299) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID RN259811) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 259985) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN259811) | |
Enumeration Date | 2019-11-21 |
Last Update Date | 2025-02-03 |