NPI | 1053796474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP128826) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP128826) |
363L00000X Nurse Practitioner (Licence: TX AP128826) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128826) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128826) | |
Enumeration Date | 2015-07-27 |
Last Update Date | 2025-07-02 |