NPI | 1356833784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 224735) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137658) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2020-03-02 |