NPI | 1699260612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308423) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY 308423) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-01-10 |