NPI | 1073154779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143322) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720452) |
Enumeration Date | 2019-10-03 |
Last Update Date | 2022-11-08 |