NPI | 1740975168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-157047) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-157047) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2025-02-05 |