NPI | 1689108904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132684) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132684) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2023-11-06 |