NPI | 1346813441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113690) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 113690) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2024-02-21 |