NPI | 1699351775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1032877) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1032877) |
Enumeration Date | 2021-03-20 |
Last Update Date | 2024-03-25 |