NPI | 1346914173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30185) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 30185) |
Enumeration Date | 2021-08-04 |
Last Update Date | 2023-03-29 |