NPI | 1013430552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9457652) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9457652) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2025-08-27 |