NPI | 1407808363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1168152) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 654335) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-07-09 |