NPI | 1417549296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1029990) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1029990) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1029990) | |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-02-18 |