NPI | 1366813016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN002170) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN65117) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2018-11-12 |