NPI | 1386303535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1057089) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1057089) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1057089) | |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-10-03 |