NPI | 1730587817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP138184) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9226891) |
363LA2200X Nurse Practitioner Adult Health (Licence: TX AP138184) | |
Enumeration Date | 2014-12-05 |
Last Update Date | 2023-07-15 |