NPI | 1124673090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012100) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5012100) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2024-03-05 |