NPI | 1386195998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024173896) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024173896) |
363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024173896) | |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |