NPI | 1871033076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012032) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP1846192) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1846192) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP1846192) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2019-08-14 |