NPI | 1407381296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015407A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209015536) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2024-08-16 |