NPI | 1306513635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 217351) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AR 217351) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2021-09-12 |