NPI | 1205029162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1386A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID NP-1386A) |
363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP-1386A) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: ID NP-1386A) | |
Enumeration Date | 2007-08-23 |
Last Update Date | 2016-09-11 |