NPI | 1619724267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1159155) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1159155) |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-10-05 |