NPI | 1952592701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 033239-23) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 033239-23) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2013-03-06 |