NPI | 1548704505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9189598) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9189598) |
Enumeration Date | 2016-12-10 |
Last Update Date | 2025-04-17 |