NPI | 1578014494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005213) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005213) |
Enumeration Date | 2016-10-14 |
Last Update Date | 2021-12-07 |