NPI | 1548631203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5007947) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007947) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2021-08-19 |