NPI | 1326145053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 642550) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 642550) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2024-01-18 |