NPI | 1811179138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61121816) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61121816) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306337) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340907) | |
Enumeration Date | 2007-11-28 |
Last Update Date | 2022-02-28 |