NPI | 1770928343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016009888) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016009888) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28208566A) | |
Enumeration Date | 2013-05-08 |
Last Update Date | 2021-04-14 |