NPI | 1346612769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2021161511) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129044) |
Enumeration Date | 2015-10-25 |
Last Update Date | 2025-03-26 |