NPI | 1730584137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 5952) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5952) |
363LP2300X Nurse Practitioner Primary Care (Licence: CT 5952) | |
Enumeration Date | 2014-10-28 |
Last Update Date | 2023-09-11 |