NPI | 1508238304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 813082) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129376) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129376) | |
Enumeration Date | 2015-10-20 |
Last Update Date | 2019-05-31 |