NPI | 1558843060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024176354) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176354) |
363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024176354) | |
Enumeration Date | 2018-08-30 |
Last Update Date | 2018-08-30 |