NPI | 1912416496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1109012) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 126142) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AK 126142) | |
Enumeration Date | 2017-09-27 |
Last Update Date | 2024-10-10 |