NPI | 1043092760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1139469) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 869676) |
Enumeration Date | 2023-10-17 |
Last Update Date | 2023-10-17 |