NPI | 1720840945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2024004467) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2024004467) |
Enumeration Date | 2024-01-24 |
Last Update Date | 2024-02-20 |