NPI | 1427408053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 38706) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131083) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2025-05-20 |