NPI | 1316456726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-097477) |
Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: AL 1-097477) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2017-09-28 |