NPI | 1356819882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9313260) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9313260) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2025-05-27 |