NPI | 1801270210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012654) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012654) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012654) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN331479) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2024-08-23 |