NPI | 1427414416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 53-75024-082) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: KS 53-75024-082) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-05-16 |