NPI | 1497540017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1183536) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 1183536) |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-04-14 |