NPI | 1083105811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136778) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-05-18 |