NPI | 1770041014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 229387) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139918) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2023-01-27 |