NPI | 1144273152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN960691) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN960691) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2021-10-25 |