NPI | 1366089757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5019728) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN228377) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-04-22 |