NPI | 1255885448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131928) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 785062) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2025-09-03 |