NPI | 1740590769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 336206-8900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 336206-4405) |
Enumeration Date | 2010-10-08 |
Last Update Date | 2021-01-19 |