NPI | 1427413947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 95003566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003566) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2022-11-08 |