NPI | 1043249741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 142406) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 900335) |
163WG0600X Registered Nurse, Gerontology (Licence: NC 142406) | |
363L00000X Nurse Practitioner (Licence: NC 142406) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-05-24 |