NPI | 1467843086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 801342) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 801342) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2016-11-29 |