NPI | 1083624266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 31714.1236) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WY 31714.1236) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WY 31714.1236) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2022-11-03 |