NPI | 1285780437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13376) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 13376) |
Enumeration Date | 2007-01-27 |
Last Update Date | 2014-10-22 |