NPI | 1558989186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024179653) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024179653) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2020-07-22 |