NPI | 1144304569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 10460) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN000825) |
163W00000X Registered Nurse (Licence: NV RN46531) | |
163W00000X Registered Nurse (Licence: CA 543592) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2023-03-07 |