NPI | 1326513136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 218450) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN127360) |
Enumeration Date | 2018-10-08 |
Last Update Date | 2023-03-07 |