NPI | 1083852677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 279490-4405/APRN) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 2794904405) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2021-12-16 |