NPI | 1407488331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1002011) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60475354) |
163W00000X Registered Nurse (Licence: TX 989209) | |
Enumeration Date | 2020-02-08 |
Last Update Date | 2023-12-19 |