NPI | 1265107536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 12364428-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 12364428-4405) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2022-06-01 |