NPI | 1598540353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1129515) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1129515) |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-11-19 |