NPI | 1659036317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1056824) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 657849) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1056824) | |
Enumeration Date | 2021-11-07 |
Last Update Date | 2022-05-27 |