NPI | 1164017091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1083749) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11010725) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2023-10-12 |