NPI | 1407866932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126409) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126409) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2018-08-23 |