NPI | 1518666205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1112906) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 921798) |
363L00000X Nurse Practitioner (Licence: TX 1112906) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112906) | |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-05-10 |