NPI | 1730738824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 142283) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 142283) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2023-06-13 |