NPI | 1376920439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP138447) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201502374NP) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2024-12-20 |