NPI | 1407482029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145566) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP145566) |
363L00000X Nurse Practitioner (Licence: TX AP145566) | |
Enumeration Date | 2020-03-15 |
Last Update Date | 2024-03-25 |