NPI | 1306250519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074590) |
Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 792982) |
163WI0600X Registered Nurse, Infection Control (Licence: TX 792982) | |
171M00000X Case Manager/Care Coordinator (Licence: TX 792982) | |
Enumeration Date | 2014-06-16 |
Last Update Date | 2024-10-03 |