NPI | 1821273327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP116301) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 606997) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2024-06-13 |