NPI | 1366172645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 209025316) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.399791) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.025316) | |
Enumeration Date | 2022-06-10 |
Last Update Date | 2025-02-06 |