NPI | 1639901242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 11034736) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11034736) |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-08-14 |