NPI | 1598490781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5016570) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5016570) |
363LG0600X Nurse Practitioner Gerontology (Licence: NC 5016570) | |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-08-23 |