NPI | 1013736529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 36589) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 36589) |
Enumeration Date | 2024-10-10 |
Last Update Date | 2024-12-11 |