NPI | 1255037388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1109782) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1109782) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-11-10 |