NPI | 1053856427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN197918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN197918) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2016-12-27 |