NPI | 1891346177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 38814) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994854-NP) |
Enumeration Date | 2019-09-27 |
Last Update Date | 2025-07-24 |