NPI | 1447721915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 22184) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22184) |
Enumeration Date | 2018-12-10 |
Last Update Date | 2024-07-24 |