NPI | 1710613385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 908806) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 908806) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2022-07-26 |