NPI | 1700575867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013875A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71013875A) |
Enumeration Date | 2023-05-04 |
Last Update Date | 2024-10-09 |