NPI | 1477211829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1142862) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1142862) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-02-21 |