NPI | 1962075796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11015215) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11015215) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-03-19 |