NPI | 1518439017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140036) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140036) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140036) | |
Enumeration Date | 2018-12-20 |
Last Update Date | 2019-12-18 |