NPI | 1669173886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11025218) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11025218) |
Enumeration Date | 2023-03-14 |
Last Update Date | 2024-05-15 |