NPI | 1992556385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 115093) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 115093) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NE 115093) | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |