NPI | 1760843981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL AG0116012) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG0116012) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2023-11-08 |