NPI | 1881189389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NCO-000001) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 240266) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2019-04-30 |