NPI | 1932657871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9181641) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9181641) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9181641) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2019-04-03 |