NPI | 1033520820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95004311) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f306806-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY f340948-1) | |
163W00000X Registered Nurse (Licence: CA RN95091386) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2016-08-23 |