NPI | 1821564709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 253709) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 253709) |
Enumeration Date | 2018-10-18 |
Last Update Date | 2019-02-21 |