NPI | 1154498285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115412) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115412) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2022-09-30 |