NPI | 1841373263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 256204) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA RN00104595) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2013-01-11 |