NPI | 1417679721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1101063) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX 821483) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2023-02-01 |