NPI | 1780123083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN10019123) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132475) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2025-09-26 |