NPI | 1902547177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1073555) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1073555) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-03-01 |