NPI | 1760157473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 4881144-4405) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 4881144-4405) |
Enumeration Date | 2021-08-13 |
Last Update Date | 2024-06-21 |