NPI | 1821545872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-113235) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AL 1-113235) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |