NPI | 1780089888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005218A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005218A) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2020-12-29 |