NPI | 1740950278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG07210177) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC AG07210177) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC AG07210177) | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2022-02-08 |