| NPI | 1558789487 |
|---|---|
| Former Name | JOAN E LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138688) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006812) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-06-12 |