| NPI | 1902488166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024186188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9416) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9416) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11011680) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310102) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F310102) | |
| 363L00000X Nurse Practitioner (Licence: NY F310102) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9416) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11011680) | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-04-01 |