NPI | 1124275748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175211) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00129600) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2024-03-28 |