NPI | 1902515208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1089688) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 724951) |
Enumeration Date | 2022-11-16 |
Last Update Date | 2022-11-19 |