NPI | 1275077307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9262917) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9262917) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2017-01-09 |