NPI | 1225663677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3014417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1128842) |
Enumeration Date | 2020-03-05 |
Last Update Date | 2024-02-09 |