NPI | 1033138854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 689320) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP120167) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP120167) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: LA tap001475) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-10-05 |