NPI | 1568076354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1042691) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN11008898) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2022-08-04 |