NPI | 1174351878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1169167) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1169167) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1169167) | |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-07-24 |