NPI | 1003427899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 213785) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 213785) |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-08-14 |