NPI | 1548918972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95020317) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CA 95020317) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2022-03-15 |