NPI | 1336868355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R130418) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R130418) |
Enumeration Date | 2022-08-23 |
Last Update Date | 2022-11-10 |