NPI | 1699161810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f3068141) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY f3409411) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-08-28 |