NPI | 1962721779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 649365) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 649365) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 649365) | |
Enumeration Date | 2010-05-19 |
Last Update Date | 2019-07-26 |