NPI | 1881110088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0993302) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0993302) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2018-06-23 |