NPI | 1306348081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010323) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010323) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2024-07-15 |