NPI | 1639607070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1088064) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016038173) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11002524) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2022-08-30 |