NPI | 1447619259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AK 121432) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP1557042) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2023-09-18 |