NPI | 1023865029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 30774) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 242415) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2025-09-03 |