NPI | 1669628996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600081) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 600081) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600081) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 600081) | |
Enumeration Date | 2008-08-18 |
Last Update Date | 2009-09-09 |