NPI | 1740608637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95000368) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95000368) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2014-09-27 |