NPI | 1770955270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN002142) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN002142) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2016-06-15 |