NPI | 1629454160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130723) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP08445) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2018-10-22 |