NPI | 1952468969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI npp37323) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 207381) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2014-05-28 |