NPI | 1356854582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135634) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R231169) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2018-05-28 |