NPI | 1396229969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 224494) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010910) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010910) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010910) | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2023-01-24 |