NPI | 1114157260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5017809) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R129919) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2023-03-17 |