NPI | 1538293568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP001461H) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP001461H) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2016-05-02 |