NPI | 1538767579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP144269) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX AP144269) |
363L00000X Nurse Practitioner (Licence: TX AP144269) | |
Enumeration Date | 2020-10-13 |
Last Update Date | 2022-08-30 |