NPI | 1134667843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901953) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MS 901953) |
363LG0600X Nurse Practitioner Gerontology (Licence: MS 901953) | |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-06 |