NPI | 1093414559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11024777) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11024777) |
Enumeration Date | 2023-02-23 |
Last Update Date | 2023-08-09 |