NPI | 1801563572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5015450) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC CARL8dwfm) |
Enumeration Date | 2021-08-30 |
Last Update Date | 2022-01-19 |