NPI | 1013365550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN222787) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN222787) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2020-11-05 |