NPI | 1336698091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 812661) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 6228389-4409) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2025-03-28 |