NPI | 1457810087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112543) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 938480) |
Enumeration Date | 2019-03-13 |
Last Update Date | 2023-03-13 |