NPI | 1538539374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0086060) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OK R0086060) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2023-03-07 |