NPI | 1447670146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH 406455) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 406455) |
363LG0600X Nurse Practitioner Gerontology (Licence: OH 406455) | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2016-01-25 |