NPI | 1265508477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP008205) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008205) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2019-10-24 |