NPI | 1821830761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95030434) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95030434) |
Enumeration Date | 2024-06-11 |
Last Update Date | 2024-07-05 |