NPI | 1659049914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1053204) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1053204) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2022-01-12 |