NPI | 1912496068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R190975) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R190975) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2018-11-19 |