NPI | 1275356628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI AG06240161) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI AG06240161) |
Enumeration Date | 2024-11-04 |
Last Update Date | 2025-07-08 |