NPI | 1962906552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101.0134140) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VT 101.0134140) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-10-12 |