NPI | 1205910692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 600037) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600037) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2023-03-07 |