NPI | 1952825275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP134782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 882885) |
363L00000X Nurse Practitioner (Licence: TX AP134782) | |
Enumeration Date | 2017-07-28 |
Last Update Date | 2024-10-11 |