NPI | 1538056882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1190202) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1190202) |
Enumeration Date | 2025-06-19 |
Last Update Date | 2025-10-03 |