NPI | 1851848071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024189432) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R191772) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD R191772) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133364) | |
Enumeration Date | 2016-09-06 |
Last Update Date | 2024-02-19 |