NPI | 1871121426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004518) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1004518) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1004518) | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2024-03-25 |