NPI | 1720499726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125562) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202008114NP-PP) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP125562) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2021-11-15 |