NPI | 1093436552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022051) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95022051) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95022051) | |
Enumeration Date | 2022-09-02 |
Last Update Date | 2022-09-02 |