NPI | 1881301265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 226914) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1140280) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2023-12-20 |