NPI | 1679070882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136835) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP136835) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136835) | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |