NPI | 1801362942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NV 813736) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NV 813736) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2023-01-03 |