NPI | 1386150076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-03492) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-85664) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2018-02-14 |