NPI | 1417727058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP028279) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP028279) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-02-26 |