NPI | 1578186581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179365) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024179365) |
363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024179365) | |
Enumeration Date | 2020-05-26 |
Last Update Date | 2023-11-22 |