NPI | 1508473893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 216212) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1015381) |
363L00000X Nurse Practitioner (Licence: TX 1015381) | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2025-09-10 |