NPI | 1306355060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 24881) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009688) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5009688) | |
Enumeration Date | 2017-09-26 |
Last Update Date | 2021-10-25 |