NPI | 1578290847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1062864) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1062864) |
Enumeration Date | 2022-08-05 |
Last Update Date | 2024-09-09 |