NPI | 1255858973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 258254) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 258254) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2020-10-12 |