NPI | 1437597655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP2983892) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8549) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP4912) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2024-01-21 |