NPI | 1407749351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 14914) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 14914) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2025-05-30 |
Last Update Date | 2025-07-16 |