NPI | 1881294544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 208526) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32752) |
163W00000X Registered Nurse (Licence: GA RN208526) | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-11-11 |