NPI | 1629759485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 904573) |
363L00000X Nurse Practitioner (Licence: TN 35113) | |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-12-14 |