NPI | 1639840085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1086449) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 178473) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2022-09-06 |