NPI | 1346717279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 815456) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 815456) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2024-05-23 |