| NPI | 1396478830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 226274) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 3-001773) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4021515) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 36424) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 230019) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 878300) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 79546) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2024-09-13 |