NPI | 1255085007 |
---|---|
Former Name | ANNIE LAURIE MIGUES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1070205) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 1070205) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2024-09-17 |