NPI | 1902278773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015037183) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2015037183) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2021-11-12 |