NPI | 1629516489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP133162) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133162) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2020-09-01 |