NPI | 1518006469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 111246) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NE 30226) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2011-08-25 |