NPI | 1942314265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11020385) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340436-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MD R218354) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340436) | |
163W00000X Registered Nurse (Licence: NY 482629-1) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2024-07-12 |