NPI | 1558803841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9426693) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9426693) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2023-05-12 |