NPI | 1821557778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1046587) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 302362) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-03-11 |