NPI | 1013375856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1140962) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0992184-NP) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2024-02-15 |