NPI | 1255671731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024205) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 22166) |
Enumeration Date | 2013-02-21 |
Last Update Date | 2023-08-16 |