NPI | 1609876242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OR 200550112NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 200550111NP) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2016-12-27 |