NPI | 1497711048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 112291) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 112291) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2007-07-08 |