NPI | 1922383892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20789) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 20789) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2012-03-06 |