NPI | 1689354920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1095061) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1095061) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1095061) | |
Enumeration Date | 2023-07-21 |
Last Update Date | 2025-05-19 |