NPI | 1164523098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN044136/APO199) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN044136/APO199) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2016-03-30 |