NPI | 1558768242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA 275049) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 275049) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |