NPI | 1548265325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IL 209-003106) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 041164265) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2009-12-04 |