NPI | 1699145896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1194330) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1194330) |
372500000X Chore Provider | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2025-05-19 |