NPI | 1417372418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125135) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 617300) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2024-06-25 |