NPI | 1366997785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 7136) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7136-33) |
363LG0600X Nurse Practitioner Gerontology (Licence: WI 7136) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-09-09 |