NPI | 1053979708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-143276) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-143276) |
363L00000X Nurse Practitioner (Licence: AL 1-143276) | |
363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-143276) | |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-06-13 |