NPI | 1477971844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP07714) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP07714) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2016-06-14 |