NPI | 1447746938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032954) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009391) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 025582) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009391) | |
Enumeration Date | 2018-07-08 |
Last Update Date | 2023-02-02 |