NPI | 1831709062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP144816) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP144816) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2022-01-21 |