NPI | 1699137638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9282426) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9282426) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2020-10-05 |