NPI | 1710512744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142785) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2024-05-20 |