NPI | 1902593841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1179913) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 899612) |
Enumeration Date | 2023-04-20 |
Last Update Date | 2025-01-16 |