NPI | 1366978546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP133703) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133703) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2021-01-22 |