NPI | 1326202847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95000016) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-005551) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2014-05-14 |