NPI | 1447794912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP132482) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132482) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132482) | |
Enumeration Date | 2016-12-18 |
Last Update Date | 2024-11-01 |