NPI | 1033651526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20442) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 20442) |
363L00000X Nurse Practitioner (Licence: SC 20442) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: SC 20442) | |
Enumeration Date | 2016-11-15 |
Last Update Date | 2023-10-10 |