NPI | 1598173098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9311534) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9311534) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2024-12-16 |