NPI | 1699147397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-130178) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 13063) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-130178) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-130178) | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2024-06-06 |