NPI | 1790266310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010856) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010856) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010856) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010856) | |
Enumeration Date | 2018-08-22 |
Last Update Date | 2024-10-29 |