NPI | 1538553367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP127709) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127709) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127709) | |
Enumeration Date | 2015-03-18 |
Last Update Date | 2022-04-01 |