NPI | 1306310354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN811893) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 811893) |
Enumeration Date | 2019-01-13 |
Last Update Date | 2023-04-29 |