NPI | 1609201748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 225749) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 225749) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 225749) | |
Enumeration Date | 2013-09-09 |
Last Update Date | 2024-07-24 |