NPI | 1235990565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10160707-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10160707-3102) |
363LG0600X Nurse Practitioner, Gerontology (Licence: UT 10160707-4405) | |
Enumeration Date | 2024-01-23 |
Last Update Date | 2025-03-12 |