NPI | 1558733261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN207080) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN207080) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2017-01-28 |