NPI | 1588214050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1157804) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 970802) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2024-09-12 |