NPI | 1295610368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1106689) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11039998) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11039998) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11039998) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1106689) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1106689) | |
Enumeration Date | 2025-08-07 |
Last Update Date | 2025-10-01 |