NPI | 1285094060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP130419) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130419) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2022-02-01 |