NPI | 1427543685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11005561) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009324) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95009324) | |
Enumeration Date | 2018-06-28 |
Last Update Date | 2022-01-20 |