NPI | 1972006542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005474) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A005474) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2025-01-24 |