NPI | 1427762780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5017491) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5017491) |
Enumeration Date | 2023-01-11 |
Last Update Date | 2024-05-28 |