NPI | 1669824009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 006649) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 121836) |
363L00000X Nurse Practitioner (Licence: CT 006649) | |
Enumeration Date | 2016-07-11 |
Last Update Date | 2016-11-08 |