NPI | 1558772145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP125570) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP125570) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2022-07-21 |