NPI | 1740956531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1009163) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R161437) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2023-10-16 |