NPI | 1548358724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 225270) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 225270) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |