NPI | 1700645504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 13002) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 13002) |
Enumeration Date | 2024-03-15 |
Last Update Date | 2024-04-08 |