NPI | 1508381609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 007155) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7155) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2022-09-26 |