NPI | 1356942148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1019522) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1019522) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 869298) | |
Enumeration Date | 2020-11-06 |
Last Update Date | 2022-01-04 |