NPI | 1992828958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 150335-4405) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 150335-4405) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2010-04-21 |