NPI | 1053119115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1207881) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 729239) |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-08-11 |