NPI | 1295177293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R169381) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1043287) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179747) | |
Enumeration Date | 2013-07-19 |
Last Update Date | 2022-03-25 |