NPI | 1467508275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2616) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2616) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP2616) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2023-09-29 |