NPI | 1033399134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 222000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 222000) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2021-11-29 |