NPI | 1154863082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP132548) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132548) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2022-07-21 |