NPI | 1609177674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R34298) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9842) |
Enumeration Date | 2010-11-08 |
Last Update Date | 2025-08-05 |