NPI | 1124063300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005118) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200950150NP) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 99007553N4) | |
Enumeration Date | 2006-06-19 |
Last Update Date | 2019-03-29 |