NPI | 1164635306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009425) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP009413) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2017-05-08 |