NPI | 1982987301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024169618) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340821-1) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2018-09-06 |