NPI | 1699363564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 008983) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 008983) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-04-26 |