NPI | 1083280226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1029002) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1029002) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1029002) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1029002) | |
Enumeration Date | 2021-05-28 |
Last Update Date | 2021-05-28 |