NPI | 1699510966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020322) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020322) |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-10-23 |