NPI | 1730237876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT rn20118) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT rn20118) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2012-02-24 |