NPI | 1164846408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128237) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP128237) |
363L00000X Nurse Practitioner (Licence: NC 5006725) | |
363L00000X Nurse Practitioner (Licence: TX AP128237) | |
Enumeration Date | 2014-02-06 |
Last Update Date | 2024-04-02 |