NPI | 1437849213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 14111960-4405) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: UT 10643954-3102) |
Enumeration Date | 2023-05-15 |
Last Update Date | 2025-03-24 |