NPI | 1982153243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016501) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016501) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2020-08-31 |