NPI | 1811550866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201903457NP-PP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR AG03190056) |
Enumeration Date | 2019-04-16 |
Last Update Date | 2020-11-10 |