NPI | 1013550573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP140903) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140903) |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: TX AP140903) | |
Enumeration Date | 2019-10-28 |
Last Update Date | 2024-07-25 |