NPI | 1588211304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1192410) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61310945) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61310945) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1192410) | |
Enumeration Date | 2019-08-26 |
Last Update Date | 2025-07-22 |