NPI | 1144099276 |
---|---|
Former Name | CHRISTINA SUZANNE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11030354) |
Enumeration Date | 2023-12-29 |
Last Update Date | 2023-12-29 |