NPI | 1639764368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011970) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018207) |
363L00000X Nurse Practitioner (Licence: FL 11011970) | |
Enumeration Date | 2021-03-04 |
Last Update Date | 2024-08-20 |