NPI | 1518054162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP103643) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 550360) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2024-04-02 |