NPI | 1821423484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R876755) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R876755) |
Enumeration Date | 2013-09-13 |
Last Update Date | 2014-01-27 |