NPI | 1487397196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1190891) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-176848) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2025-04-15 |