NPI | 1932441565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 18472) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN218154) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-06-30 |