NPI | 1689433666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11031290) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11031290) |
Enumeration Date | 2024-03-13 |
Last Update Date | 2024-11-02 |