NPI | 1891148078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9365041) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN9365041) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2017-05-12 |