NPI | 1184135394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007369) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95007369) |
Enumeration Date | 2017-10-14 |
Last Update Date | 2017-10-14 |