NPI | 1902178700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP20963) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA CNS3629) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |