NPI | 1083175624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140945) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 824833) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-05-22 |