NPI | 1255160610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1170201) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1170201) |
363L00000X Nurse Practitioner (Licence: TX 1170201) | |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-23 |