NPI | 1831690858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 2262) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI 2262) |
Enumeration Date | 2018-02-25 |
Last Update Date | 2020-01-30 |