NPI | 1295451904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11021235) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11021235) |
Enumeration Date | 2022-10-13 |
Last Update Date | 2023-10-03 |