NPI | 1942840368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903801) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 886309) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-09-09 |