NPI | 1154192425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 787852) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 787852) |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-09-26 |