NPI | 1689709321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX ap136755) |
Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: TX 803842) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2019-05-21 |