NPI | 1558897140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 190453) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AK 190453) |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-04-27 |