NPI | 1699207613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007833A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6720-033) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2020-12-05 |