NPI | 1326430414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R148886) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R148886) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2016-09-11 |