NPI | 1386933653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124729) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12288-NP) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 845357) | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2015-03-24 |