NPI | 1740048461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11031616) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9504356) |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-05-03 |