NPI | 1497326979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1076983) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SD R046824) |
363LA2200X Nurse Practitioner, Adult Health (Licence: SD CP002115) | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2022-05-11 |