NPI | 1447729611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139352) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 638550) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP139352) | |
Enumeration Date | 2018-11-17 |
Last Update Date | 2022-01-14 |