NPI | 1982114914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT E47785) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MA RN179304) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN179304) | |
Enumeration Date | 2017-10-04 |
Last Update Date | 2025-03-24 |