NPI | 1780779389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP04300) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA RN078748) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-11-08 |