NPI | 1821342296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 717350) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 717350) |
363L00000X Nurse Practitioner (Licence: TX AP122593) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2023-03-13 |