NPI | 1255759635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 132710) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 757284) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2019-07-10 |