NPI | 1275293540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NE 113558) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 92715) |
363LP2300X Nurse Practitioner Primary Care (Licence: NE 113558) | |
Enumeration Date | 2021-12-28 |
Last Update Date | 2021-12-28 |