NPI | 1457485328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209006476) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209002981) |
364S00000X Clinical Nurse Specialist (Licence: IL 209-002981) | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-12-12 |