NPI | 1093000648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: VT 101.0134284) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NH 056501-23) |
Enumeration Date | 2011-06-12 |
Last Update Date | 2019-08-31 |