NPI | 1801401328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 1032974) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R205199) |
363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1032974) | |
Enumeration Date | 2020-09-11 |
Last Update Date | 2025-06-23 |