NPI | 1679977490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP129781) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129781) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4043963) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0104731-C-NP) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: MS 907665) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70033602) | |
Enumeration Date | 2014-10-22 |
Last Update Date | 2025-08-29 |