NPI | 1942844048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95012393) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95012393) |
363LG0600X Nurse Practitioner Gerontology (Licence: CA 95012393) | |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |