NPI | 1801582960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5018337) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 2023002688) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-09-29 |