NPI | 1346646833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SD CP000910) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: SD CP000910) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2021-07-08 |