NPI | 1982395695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 72583) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 72583) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ID 72583) | |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-03-06 |