NPI | 1720492648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95002236) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 174634) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN001880) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN001880) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2024-06-02 |