NPI | 1023602141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011748) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL MO6738465) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2023-04-17 |