NPI | 1922616424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1177824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 968893) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2024-10-28 |