NPI | 1750768107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127743) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127743) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP127743) | |
Enumeration Date | 2015-05-05 |
Last Update Date | 2019-04-02 |