NPI | 1003240813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 836548) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN247547) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2015-05-20 |