NPI | 1679718233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: TX 008702) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1093979) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2022-09-23 |