NPI | 1568839058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP128739) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128739) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2018-03-17 |