NPI | 1457823338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311675) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010702) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95010702) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95010702) | |
Enumeration Date | 2018-12-18 |
Last Update Date | 2024-10-29 |