NPI | 1730323528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 60399098-NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 194415) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NH 050478-23) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201401568NP-PP) | |
Enumeration Date | 2009-04-24 |
Last Update Date | 2014-06-12 |