NPI | 1629695457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP146184) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146184) |
208M00000X Hospitalist (Licence: TX AP146184) | |
Enumeration Date | 2020-06-27 |
Last Update Date | 2024-03-13 |