NPI | 1376097642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP131970) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 539246) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-03238) | |
Enumeration Date | 2016-08-04 |
Last Update Date | 2022-07-21 |