NPI | 1497130306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008094) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172651) |
363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024172651) | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2023-03-28 |