NPI | 1578397303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11036567) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9411956) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9411956) | |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-12-10 |