NPI | 1578311510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R194784) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R194784) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-05-06 |