NPI | 1477168011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11013694) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9194) |
363L00000X Nurse Practitioner (Licence: FL 11013694) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-09-10 |
Last Update Date | 2024-10-17 |