NPI | 1457068025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 8299469-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8299469-3102) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2023-01-04 |