NPI | 1265950315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00729300) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010403) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2021-06-07 |