NPI | 1013129980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 659553) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV APN001233) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2019-07-23 |