NPI | 1386202687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084961-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2318322) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2318322) | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2022-12-30 |