NPI | 1841743341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134843) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-112674) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2018-03-17 |