NPI | 1306450697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1014411) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 801380) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2021-12-03 |