NPI | 1477145746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11010510) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010510) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2023-05-30 |