NPI | 1245890136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP141729) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP141729) |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: TX AP141729) | |
363LG0600X Nurse Practitioner Gerontology (Licence: TX AP141729) | |
363LP2300X Nurse Practitioner Primary Care (Licence: TX AP141729) | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2022-02-01 |