NPI | 1952985624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1033614) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1033614) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-05-10 |