NPI | 1356537211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0017138942) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024167514) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2019-02-24 |