NPI | 1063902898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136748) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 814937) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-10-05 |