NPI | 1457704025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014267) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209014267) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2020-12-07 |