NPI | 1144689506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001693) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177645) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD AC001693) | |
Enumeration Date | 2016-02-14 |
Last Update Date | 2021-07-09 |