NPI | 1710609813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 860039) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 72795) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2022-11-29 |