NPI | 1578395216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1075837) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1075837) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-10-25 |