NPI | 1407588627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226422) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 226422) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-07-30 |