NPI | 1356049753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112064) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 838810) |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-02-26 |