NPI | 1821456377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003737) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 769423) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 769423) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95003737) | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2018-12-29 |