NPI | 1457944373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN264737) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: GA RN264737) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-02-07 |