NPI | 1083147334 |
---|---|
Former Name | ELIZABETH APOLLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201709153NP-PP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7618-33) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-02-13 |