NPI | 1447275524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 510126) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 510126) |
364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 510126) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2010-02-23 |