NPI | 1508455635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019397) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024007851) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11009996) | |
Enumeration Date | 2021-01-13 |
Last Update Date | 2024-05-09 |