NPI | 1982763496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP107005) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 530385) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2019-07-30 |