NPI | 1063918985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136494) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136496) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 864307) | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2024-05-13 |