NPI | 1194293241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 247741) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 247741) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2021-03-15 |