NPI | 1629464110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN203684) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: GA RN203684) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2015-04-10 |