NPI | 1548868367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP027637) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R215372) |
363L00000X Nurse Practitioner (Licence: PA SP027637) | |
Enumeration Date | 2020-10-14 |
Last Update Date | 2025-09-03 |