NPI | 1629440805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129032) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129032) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2025-02-12 |