NPI | 1396247219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135973) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP135973) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135973) | |
Enumeration Date | 2018-03-07 |
Last Update Date | 2024-05-20 |