NPI | 1194090787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 707321) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A03664) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2021-09-28 |