NPI | 1750354759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 108244) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 108244) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2017-12-20 |