NPI | 1184034167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125626) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP125626) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2020-01-13 |