NPI | 1962968156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11019533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11019533) |
Enumeration Date | 2019-02-13 |
Last Update Date | 2023-10-31 |