NPI | 1639216278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2563) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP2563) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-01-18 |