NPI | 1235678087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000194) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000194) |
363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000194) | |
Enumeration Date | 2017-02-13 |
Last Update Date | 2017-02-13 |