NPI | 1801280524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R37155) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R37155) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ND R37155) | |
Enumeration Date | 2015-03-19 |
Last Update Date | 2024-03-18 |