NPI | 1639694409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007419A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28197939A) |
Enumeration Date | 2017-08-14 |
Last Update Date | 2022-07-21 |