NPI | 1194189597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010979A) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA 18918 NP) |
363L00000X Nurse Practitioner (Licence: KY 3015910) | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2023-02-16 |