NPI | 1033835848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1006909) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1006909) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 1006909) | |
Enumeration Date | 2022-10-13 |
Last Update Date | 2024-08-01 |