NPI | 1285176610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014360) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014360) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2017-06-13 |