NPI | 1154603611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 17573) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4033745) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37914) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 3-002082) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11036998) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 306051) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0038259) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0101894-C-NP) | |
Enumeration Date | 2011-09-12 |
Last Update Date | 2025-01-10 |