NPI | 1801459052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019007744) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2019007744) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2021-10-11 |