NPI | 1508156084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 653892) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP120220) |
Enumeration Date | 2011-04-18 |
Last Update Date | 2022-01-06 |