NPI | 1801463583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 113592) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 113592) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-07-20 |