NPI | 1700419421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145190) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 792582) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145190) | |
Enumeration Date | 2020-02-20 |
Last Update Date | 2024-03-26 |