NPI | 1427610328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R206571) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R206571) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-09-18 |