NPI | 1497089494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 674287) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 674287) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2023-03-07 |