NPI | 1841874567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61462163) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1036346) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1036346) | |
Enumeration Date | 2021-05-09 |
Last Update Date | 2024-07-16 |