NPI | 1740968262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704330800) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9630327) |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-07-05 |