NPI | 1669980280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71008080A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28162979A) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2021-03-25 |