NPI | 1831580018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004292) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A004292) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2024-09-23 |