NPI | 1841636727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126696) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126696) |
363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126696) | |
Enumeration Date | 2013-05-17 |
Last Update Date | 2017-11-08 |