NPI | 1144572876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95003243) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209.009318) |
363LG0600X Nurse Practitioner Gerontology (Licence: IL 209.009318) | |
363LG0600X Nurse Practitioner Gerontology (Licence: CA NP95003243) | |
Enumeration Date | 2012-10-04 |
Last Update Date | 2024-02-13 |