NPI | 1124309521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1099221) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704269294) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2024-09-19 |