NPI | 1700396900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017931) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017931) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-05 |