NPI | 1184439408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1190910) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1190910) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1190910) | |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-09-24 |