NPI | 1740850932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1019895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 792498) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2022-06-02 |