NPI | 1528412624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10018726) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9165986) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61272607) | |
Enumeration Date | 2016-04-15 |
Last Update Date | 2024-01-31 |