NPI | 1982387338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37259) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000266113) |
Enumeration Date | 2023-08-11 |
Last Update Date | 2025-07-28 |